Evidence map›Paper›PMID 30132389›Full record

Trial reportNeurorehabilitation and neural repair2018

Transcranial Direct Current Stimulation May Improve Cognitive-Motor Function in Functionally Limited Older Adults.

Brad Manor, Junhong Zhou, Rachel Harrison, On-Yee Lo, Thomas G Travison, Jeffrey M Hausdorff, Alvaro Pascual-Leone, Lewis Lipsitz

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Modulating Brain Activity to Improve Goal-directed Physical Activity in Older Adults: A Pilot Randomized Controlled Trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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  19. Group optimization methods for dose planning in tES.Journal of neural engineering · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Brad Manor1 Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA, USA.
Junhong Zhou1 Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA, USA.
Rachel Harrison1 Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA, USA.ORCID 0000-0001-9847-4033
On-Yee Lo1 Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA, USA.
Thomas G Travison1 Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA, USA.
Jeffrey M Hausdorff4 Center for the Study of Movement, Cognition, and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Alvaro Pascual-Leone2 Beth Israel Deaconess Medical Center, Boston, MA, USA.
Lewis Lipsitz1 Institute for Aging Research, Hebrew SeniorLife, Roslindale, MA, USA.

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Translational Researchin Aging Trainnig ProgramT32AG023480 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2004 to 2024
$7.6M
Health Outcomes of Tai Chi in Subsidized Senior HousingR01AG025037 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS, WAYNE, PETER MICHAEL · 2015 to 2019
$3.5M
Cerebrovascular Mechanisms of Slow Gait and FallsR01AG041785 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2013 to 2017
$2.4M
Harvard Older Americans Independence Center GrantP30AG028717 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI LIPSITZ, LEWIS · 2009 to 2010
$400k
Modulating brain activity to preserve gait in older adults.K01AG044543 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI MANOR, BRADLEY D. · 2014 to 2016
$373k
NCATS NIH HHS UL1 TR001102NCRR NIH HHS UL1 RR025758NIA NIH HHS K01 AG044543NIA NIH HHS P30 AG028717NIA NIH HHS R01 AG025037NIA NIH HHS R01 AG041785NIA NIH HHS T32 AG023480
6 · The paper itself

Abstract

objectiveTo determine the effects of a transcranial direct current stimulation (tDCS) intervention with the anode placed over the left dorsolateral prefrontal cortex (dlPFC) and cathode over the right supraorbital region, on cognition, mobility, and "dual-task" standing and walking in older adults with mild-to-moderate motor and cognitive impairments.

methodsA double-blinded, block-randomized, sham-controlled trial was conducted in 18 nondemented, ambulatory adults aged ⩾65 years with slow walking speed (⩽1.0 m/s) and "executive" dysfunction (Trail Making Test B score ⩽25th percentile of age- and education-matched norms). Interventions included ten 20-minute sessions of tDCS or sham stimulation. Cognition, mobility, and dual-task standing and walking were assessed at baseline, postintervention, and 2 weeks thereafter. Dual tasking was also assessed immediately before and after the first tDCS session.

resultsIntervention compliance was high (mean ± SD = 9.5 ± 1.1 sessions) and no unexpected or serious side effects were reported. tDCS, compared with sham, induced improvements in the Montreal Cognitive Assessment total score ( P = .03) and specifically within the executive function subscore of this test ( P = .002), and in several metrics of dual-task standing and walking ( P < .05). Each of these effects persisted for 2 weeks. tDCS had no effect on the Timed Up-and-Go test of mobility or the Geriatric Depression Scale. Those participants who exhibited larger improvements in dual-task standing posture following the first tDCS session exhibited larger cognitive-motor improvements following 2 weeks of tDCS ( P < .04).

interpretationtDCS intervention designed to stimulate the left dorsolateral prefrontal cortex may improve executive function and dual tasking in older adults with functional limitations.

Indexed as

AgedCognitionDouble-Blind MethodExecutive FunctionFemaleHumansMaleMotor SkillsNeuropsychological TestsTranscranial Direct Current StimulationTreatment OutcomeWalkingdual-task standingexecutive functionolder adultstDCS

Identifiers

PMID30132389
PMCPMC6143414

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.